A New Era of Auditing
Navigate healthcare’s complexities with ease and protect your revenue, boost compliance, and streamline audits with precision.
Say Hello to Audit Manager+
Revolutionize your audit management process with Audit Manager+, our new, innovative web-based solution that brings together audit workflow, management, and reporting in one streamlined platform. Developed with auditors in mind, Audit Manager+ offers advanced customization options, real-time insights, and the unique ability to audit a provider and a coder at the same time.
Our newly enhanced Audit Box delivers faster performance, fewer clicks, and auto-save as you audit, all designed to maximize your efficiency and elevate your auditing capabilities.
Benefits
Protect Revenue
Prevent costly claim reprocessing and denials by ensuring your claims are accurate before submission with prospective claim reviews. Leverage analytics to identify and remediate coding problems and risks.
Boost Agility
Drive efficiency with customizable editing, scoring, and checklists you use to audit any facility or specialty. Custom reports can be tailored to various audiences within your organization, dramatically reducing the burden of internal reporting.
Audit Smarter
Audit technical and professional components of claims in one system, as well as every data element on a UB, CDT or HCFA claim. Audit Guidelines allow data customization for individual projects, allowing auditors to focus on core audit goals.
Software Features
Streamline the way you manage audits by merging audit workflow, management, education and reporting into one easy-to-use, web-based solution. Designed by auditors, for auditors.
Enhanced Checklists
AM+ features predefined checklists for commonly audited data elements and procedure codes. You can also auto-assign checklists by data element, code, and claim type to streamline your processes and enhance your checklist capabilities.
Synchronous Auditing Capabilities
Auditing has never been easier with software that lets you audit anyone at the click of a button. Audit a coder and a provider at once, in one place. You can audit system configuration, and other processes or components of healthcare too.
Customizable Scoring Rules
Ensure total consistency across every audit and custom guideline with comprehensive and customizable rule sets, checklists, and suggested codes.
Line-Level Reporting
Capture and report on every data element of a claim and view reported results right next to that data element. Our state-of-the-art business intelligence tools provide comprehensive reporting and data analysis to reduce risk and preserve revenue.
QA Oversight
Customize QA criteria and streamline audits with skill-based tracking and targeted error identification. The platform’s automated quality assurance features and workflows ensure quality across your auditing efforts.
Advanced Workflow Management
At-a-glance dashboard identifies outstanding work and due dates for each audit and project, keeping your audits on track and your workflow right on target.
Real-Time Editing and Claim Alerts
Improve your auditors’ accuracy instantly with real-time feedback with integrated nationally standard code edits, including NCCI for both professional and outpatient claims.
Software Features
Streamline the way you manage audits by merging audit workflow, management, education and reporting into one easy-to-use, web-based solution. Designed by auditors, for auditors.
Enhanced Checklists
Predefined checklists for commonly audited data elements and procedure codes.
Schedule a DemoSynchronous Auditing Capabilities
Audit a coder and a provider at once, in one place, along with system configurations, and other processes of healthcare too.
Schedule a DemoCustomizable Editing and Scoring
Flexible editing and scoring to reflect specific organizational requirements for improved accuracy and compliance.
Schedule a DemoLine-Level Reporting
Capture and report on every data element of a claim with side-by-side results. Division, department, and organization reporting is available by data element or types of audits.
Schedule a DemoQA Oversight
Customize QA criteria and streamline audits with skill-based tracking and targeted error identification.
Schedule a DemoAdvanced Workflow Management
At-a-glance dashboard identifies outstanding work and due dates for each audit and project.
Contact UsReal-Time Editing and Claim Alerts
Improve your auditors’ accuracy instantly with real-time feedback with integrated nationally standard code edits, including NCCI for both professional and outpatient claims.
Schedule a DemoComprehensive Code Sets
Audit every code type with the only solution that handles every code set, including CPT®, HCPCS, CDT, ICD-10-CM, ICD-10-PCS, Revenue, Condition Codes, Occurrence, Value, Type of Bill, Discharge Status, HCC, and more.
Schedule a DemoCustomizable options to meet your needs
Enterprise
$8,000/year*
Audit facility, professional and dental claims on one platform
- Audit multiple providers and coders simultaneously
- Supports auditing needs of both healthcare providers and consulting organizations
- Enhanced checklists
- Advanced workflow management
- Real-time editing and claim alerts
- Comprehensive code sets
- Customizable scoring rules and metrics
- Ability to customize clinical rules
- Line-level reporting
- Mid-range pricing
- QA oversight
- Custom lexicon
*Discounts available for multiple claim types. Implementation costs not included.
Multi-account
Audit for multiple clients under one parent account
- Separate and secure sub-accounts within master account
- Define sub-account and project-specific instructions
- Customizable reports
- Consolidated reports across projects
- Identify an auditor's level of training by specialty
- Assignment and workload balancing across master account
- Record organization and attachments for audit
- Required data communication workflow (notes, reports results)
- Standard results reports (Individuals, Divisions, etc.)
- Include medical records in final report
- Sub-account logins to obtain or view reports
*Discounts available for multiple claim types.
Add-Ons
Premium Reporting
Advanced analysis and reporting of audit data
- Built on a highly-rated, user-friendly Business Intelligence tool
- Supports complex calculations and statistical analysis
- Data exports for use with other business tools
Claims Connect
Integration to automate the entry of claims data
- Supports import of historical data
- Tools support targeted and general audits
- Built in randomizer
Analytics
Analytics tools for analysis of claims data to identify risks
- Rich visualizations with customizable dashboard
- Perform calculations on your uploaded data
- Context-specific charts, including E&M Distribution and High-Dollar Code Utilization.